EUNICE S MORTAG Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056001040

License Status

NOT RENEWED

Business

First Name

EUNICE S

Last Name

MORTAG

Business Name

EUNICE S MORTAG

Original Issue Date

08/08/1984

Expiration Date

12/31/1999

City

LAKE VILLA

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

07/28/2005